HomeMy Public PortalAbout9338 BLACKLEY ST_Building__ 76ASSSA Des-a 3.5B -�
L APPLICATION FOR BUILDING PERMIT �.
DMSION OF BUILDING AND SAFETY BUILDING
Depax ent of County Engineer ADDRESS
County of Los Angeles LOCALITY
WM.J FOX,COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN, SUPT OF BUILDING CROSS ST )
DISTRICT NO. GROUP` TYPE SEWBK MAP
FOR APPLICANT TO FILL IN ./
BUILDING �q
ADDRESS . F, . ° NUMBER ER C} STATE YES NO
LOT NO �II{�' BLOCK _ U3
Z NE SPECIAL
Y CONDITIONS
TRACT 11,e -
NO OF BLDGS. BUILDING EXIST.
SIZE OF LOT I NOW ON LOT SETBACK i ARD HWY STREET NA E "WIDTH
USE OF FRONT
EXISTING BLDG «°• P L II _
OWNER ® ° SIDE
P L.
MAIL
ADDRESS +�y� O TRACT DWELL. I UNIT 5 INDUSTRIAL.,
CITY vi����'�r/1Gi?�G(G L;.L/i�'�) NO A �///� DWELL Z I UNIT g PUBLIC BLDG
I 2 DUPLEX I UNIT
ARCHITECT OR TEL 7 ADDN ALT. ETC
ENGINEER NO 3 APT UNITS
$ MISCEL
ADDRESS 4 COMMERCIAL
TEL w_�6ty a�qa� 1 INSPECTION RECORD
CONTRACTOR _ TE a /�// / %
{
ADDRESS
DESCRIPTION OF WORK
I..1 ti r--T- Com' 1.�IG -- or 1IGm_iI'
NEW ADD ALTER REPAIR DEMOLISH t
SQ FT 11I_�4 NO OF ' NO OF -
SIZE IO +q -STORIES FAMILIES G ()
USE OF STRUCTURE
4
IF 0
OF
APPLICANT
SIGNATURE 1 LA8IOVAL� N L
ADDRESS ] ' DATE INSPECTOR'S SIGNATURE
LO
$ P. . $ _ FOUNDATION FORMS, M TERIALSION
C
FEE FRAME FIRE STOPS.
VALUATION" ffi BRACING. BOLTS
FEEZ/ FURNACE LOCATION.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS
APPLICATION AND STATE THAT THE ABOVE IS,CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT.
AND STATE- REGULATING BUILDI CONSTRUC-
TION.
� LATH. EXT. /
SIGNATURE OF / .JA) � HOUSE NUMBER COR-
PERM
OR- /
PERMITTEE • _ RECT AND POSTED
ADDRESS 41 FINAL
WM.J.FOX.COUNTY ENGINEER VALIDATION C. N. DIRLAM,CHIEF BLDG. INSPECTOR
0 7 0 a ZR S927 1 2.0 0
76A638A CE#803 5165`APPLICATION FOR BUILDI G PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY , -
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST
DIST T N GTYPE - PRO 5( BY z
FOR APPLICANT TO FILL IN �/ �� CONST
R
ABUILDING DDRESS 3 .3 laC jeI � STATISTICAL ASSI FICA TION - SEWER-MAP�,z
CLASS NO DWELL UNITS BK / PG /O
LOT NO / t BLOCK G USE ZONE MAP ZOO Cl <� _ l ,
NO '
TRACT ��--� SPECIAL r
NO OF BLDGS
CONDITIONS
SIZE OF LOT S NOW ON LOT / _USE OF �/ ^�- -
;X"
N V a C11 n ! &.S BLDG SETBACK FROM '
TEL 1 FRONT PROP LINE OF -(STREET)
OWNER Q NO TYPE OF EXISTING SETBACK HIGHWAY _+ YARD' TO-TAL
ADDRESS 3 Z) S HIGHWAY WIDTH FROM C L I -� -
-
` +- D' _--
CITY P DG SE BACK FROM
ARCHITECT OR TEL SIDE PROP LINE OF (STREET) -
ENGINEER s4r NO
TYPi OF- EXISTING SETBACK- HIGHWAY + YARD -_ - TOTAL
ADDRESS ` HIGHWAY WIDTH FROM C L
TEL r + _ O '
CONTRACTOR NO S (� Q (���Tr�R
LIC - CORPVVR 'T'C7 p, DRIVENV PPROA(; . U
ADDRESS NO
OG
CITY LICLASS SEE REVERSE SIDE FOR SPECIAL-APPROVALS 0
DESCRIPTION OF WORK ,"1, t
stellatlons should he taken el} at :%I- I_ i Cc Pocd Dopt-, Alta eras
NE ADD ALTER REPAIR DEMOLISH Office, or T C Co Erg rears L`S cc Imre ,a-ey In or er to a o2
SQ FT ,,nn11 NO OF f NO OF 11mohy jelay w8ol '-I-- 4.m,% not er
SIZE (!l ST RIES ( F I I ntI Permit has been Issued Apply for parkway tree permit at T C.
USE OF
STRUCTURE ity Mall _
Z3 ,
SIGr4ATURE OF '
APPLICANT ' n a-
i '
VALUATION$ vv-o APPROVALS' DATE INSPECTORS SIGNATURE
FO
FEE FEE$� FORMS, ON
MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION , BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION -
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CDOC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION NSU NCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PEfZMITTEE _ , RECT AND POSTEDY
ADDRESS - F] NAL
JOHN F LEWIS PRINCIPAL STRUCTURAL EN EER
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK M O CASH
�,t6 0 0 1 71 FEB 2 5 1 0 2�2 O v
76AG3SACE#803.756 APPLICATION FOR BUILDING PERMIT -, 1
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
Department of County Engmeer
County of Los Angeles LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN,,SUP•T OF BUILDING CROSS ST
Di1STRICT GROUP.I TYPE ' SEWER MAP
FOR APPLICANT TO FILL IN BK PG
CONST
BUILDING �!
ADDRESS �-5 8 �///���F, _fl-
'FAA Q„/1 STATISTICAL SIFICATION
LOT NO T-Ma �/� BLOCK CLASS NO DWELL UNITS I
MAP STATE YES NO
�} NUMBER O HWY
TRACT I ' E Z NE SPECIAL
// L
NO OF BLDGS CONDITIONS '
SIZE OF LOT /1}t� - NOW O OT
USE OF
EXISTING BLDG ^ 4 - BUILDING YARD HWY STREET NAME EXIST
OWNER _P �r f J ��, '' C
SETBACK WIDTH
FRONT ;946
ADDRESS _] +F'1�C/(I` ��i,�, �q P L
` SIDE
CITY TE o°I'7Z
INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO _
ADDRESS r ,
TEL
CONTRACTOR NO
ADDRESS
DESCRIPTION OF WORK
NEW ADD
;/ ALTER REPAIR DEMOLISH
SIZESQ FT , Q ( " 0 ,I STORIENO S '
FAMILIES
USE,OF STRUCTUR
v
AS � - - - APPROVALS
SIGNATURE OF {��/T J
'APPLICANTn C`� �• • DATE INSPECTOR S SIGNATURE
ADDRESS ��1 ,. , ^� FOUNDATION LOCATION
FORMS MATERIALS
FRAME FIRE STOPS
��• FEE $ BRACING BOLTS
VALUATIOI $ FURNACE LOCATION -
FEE ✓ GAS VENT DUCTS
I'HEREBY ACKNOWLEDGE THAT CHAVE'READ THIS AP- LATH INT `
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT -
STATE LAWS REGULATING 'BUILDING CONSTRUCTION -
-SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE _ � TTTffff f RECT AND POSTED _ ^�
ADDRESS • " FINAL
JOHN A LAMBIE, COUNTY ENGINEER CLYDE N DIRLAM PRI CIPAL STRU AL ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION m o CASH
LAU0 7 9 6 2— `RAY 1 ' 2 0-0 Ln